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Organization
PATHOLOGISTS BIO-MEDICAL LABORATORIES PLLC
Active
Organization
PATHOLOGISTS BIO-MEDICAL LABORATORIES PLLC
Active
Other names
Pathologists Bio-Medical Laboratories LLP
Organization subpart
No
Provider details
NPI number
Authorized official
PETER A. DYSERT II M.D. (PRESIDENT)
(214) 818-9100
Entity
Organization
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2096
(214) 818-9100
(214) 818-9170
Mailing address
3600 GASTON AVE, WADLEY TOWER, SUITE 261, DALLAS, TX 75246-1800
(214) 818-9100
(214) 818-9170
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127290802
—
TX
01
—
CR0446
RAILROAD MEDICARE
TX
Enumeration date
06/18/2006
Last updated
09/13/2019
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